Massage Intake Form Template
A free massage intake form for therapists and spas. New clients share focus areas, pressure, health notes and consent before the first session.
Customize the pages and design to fit your needs.
About this template
A massage client intake form that covers contact details, what brings them in, areas to focus on or avoid, pressure, health conditions and medications, with a signature to confirm consent.
Common uses
- Massage therapists
- Day spas and wellness studios
- Sports and mobile massage
Key features
- Focus areas and pressure
- Health conditions and medications
- Signed consent
What this template asks
What's your full name?
Short Text
What's your email address?
Email
What's your phone number?
Phone
Have you had a professional massage before?
Yes / No
What brings you in today?
Single Choice · Relaxation, Pain or tension, Sports recovery, Pregnancy, Something else
Which areas should we focus on?
Multiple Choice · Optional · Neck and shoulders, Upper back, Lower back, Legs, Feet, Arms and hands
Is there anywhere we should avoid?
Short Text · Optional
What pressure do you prefer?
Single Choice · Light, Medium, Firm, Not sure
Do any of these apply to you?
Multiple Choice · Optional · Pregnant, High blood pressure, Recent surgery or injury, Blood clots, Skin condition, None of these
What medications do you take?
Long Text · Optional
Massage consent
Agreement text, accepted with “I agree”
Sign to confirm your answers and consent
Signature
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Massage consent
Signers read this text in the form before they accept it. Edit the bracketed details to match your business, and have the wording reviewed for your situation.
Please read this before you sign.
This consent is between [Business name] (the "Therapist") and the client named in this form.
- Accurate answers. I have answered the health questions truthfully and will tell the Therapist about any change before a session.
- Not medical care. Massage is not a substitute for medical diagnosis or treatment. I will check with a doctor if I am unsure massage is safe for me.
- Comfort. I can ask the Therapist to change pressure, skip an area or stop the session at any time.
- Draping. I will be draped at all times except the area being worked on.
- Conduct. The Therapist may end a session if there is any inappropriate behavior.
- Cancellations. Sessions cancelled with less than [number] hours notice may be charged [fee].
By signing below, I confirm that I have read this consent and agree to it.
Frequently asked questions
What should a massage intake form ask?
Contact details, what brings the client in, areas to focus on or avoid, pressure preference, health conditions such as pregnancy or recent surgery, medications and consent.
Can clients mark areas to avoid?
Yes. Clients list injuries or places they'd rather not be touched, so your therapist knows before the session starts.
Can clients fill it in before they arrive?
Yes. Send the link with the booking confirmation so the therapist reads it before the session.